I Picked on a Blackhead While on Accutane. Does

Question

I had a bout of obsession over my skin tonight and I picked on a blackhead. I don't usually scar but since I'm on a 20mg daily dose of accutane, will this increase the chances of scarring?

Anthony Perri, MD · Answer

Wound healing and scarring are usually worsened while on Accutane as well as 6 months to almost a year after an Accutane course has been completed. Thus, many elective surgeries are delayed for 6-12 months after Accutane. I recommend not manipulating any acne lesions while on or off Accutane as this may lead to more inflammation and scarring. If it was a "small blackhead" and not a deep acne cyst that was "picked," it should not lead to any significant scar. Ask your board certified dermatologist at your monthly follow up visit about this area and they will be able to ascertain if any significant damage was done.

Anatoli Freiman, MD · Answer

Scarring is usually worse on Accutane, hence it is important to avoid picking the skin while on medication.

I Picked on a Blackhead While on Accutane. Does

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